Improving Healthy Lifestyles in Agricultural Communities through Nursing-Based Self-Empowerment

Rizeki Dwi Fibriansari; Nurfika Asmaningrum; Annisa Pratiwi

doi:10.30994/jnp.v10i1.1076

Authors

Rizeki Dwi Fibriansari Faculty of Nursing, University of Jember, Jember, Indonesia https://orcid.org/0000-0002-7877-9785
Nurfika Asmaningrum Faculty of Nursing, University of Jember, Jember, Indonesia https://orcid.org/0000-0001-6911-6894
Annisa Pratiwi Faculty of Nursing, University of Jember, Jember, Indonesia https://orcid.org/0009-0006-8376-1412

DOI:

https://doi.org/10.30994/jnp.v10i1.1076

Keywords:

Agricultural Communities, Community Health Nursing, Health Promotion, Healthy Lifestyle, Self-Empowermen

Abstract

Background: Agricultural communities are vulnerable to unhealthy lifestyle behaviors due to heavy workloads and limited access to health education. Strengthening self-empowerment through nursing interventions is essential to promote sustainable health practices; however, evidence on LOHAS-informed, nurse-led empowerment interventions in Indonesian agricultural communities remains limited.
Purpose: This study aimed to evaluate changes in self-empowerment among agricultural communities following the implementation of a nursing-based self-empowerment intervention to support healthy lifestyle practices.
Methods: This study employed a pre-experimental one-group pretest–posttest design involving 265 participants from agricultural communities. Changes were assessed across six self-empowerment dimensions: self-capacity building, social network building, social service utilization, health empowerment, purposeful participation in goal attainment, and perceived well-being. Data were analyzed using the Wilcoxon signed-rank test to compare pretest and posttest scores.
Results: Among 265 respondents, posttest scores were higher than pretest scores across all six self-empowerment dimensions. Mean scores increased from 18.42 to 25.63 for self-capacity building, 17.96 to 25.12 for social network building, 18.75 to 26.04 for social service utilization, 17.84 to 25.78 for health empowerment, 18.02 to 25.47 for purposeful participation in goal attainment, and 18.63 to 26.18 for perceived well-being. The differences were statistically significant across all six dimensions (p-values < .001).
Conclusion: The self-empowerment scores increased across all six dimensions following the nursing-based intervention among agricultural communities. However, the absence of a control group limits causal interpretation, and the sustainability of these changes remains unknown. Controlled studies with longer follow-up periods are needed to assess causality and the sustainability of changes in self-empowerment and healthy lifestyle practices.

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